Crossroads Discovery Academy Childcare Pre-Registration Form

Child's Name

Child's Age

Date of Birth

Parent/Guardian's Name

This address will receive a confirmation email

Phone

Address

How often will you need childcare?

Daily/Full time Part time It varies

What weekly schedule do you prefer for your child at Crossroads Discovery Academy?

Description

This form is required to reserve a childcare position for your child at Crossroads Discovery Academy. Our opening date is to be determined. We are working as quickly as possible to complete the building process. Please fill out the entire form and click submit. Please fill out a SEPARATE form for each child that you wish to reserve a position for at Crossroads Discovery Academy. Thank you for your interest in our childcare center.

Crossroads Discovery Academy Childcare Pre-Registration Form

Description

Please Fix the Following